Doctor profile · Federal record
Dr. Samuel Kim, MD
Retina Specialist (Ophthalmology) Physician (CMS: Ophthalmology) · Student in an Organized Health Care Education/Training Program · Ophthalmology Physician · Ophthalmology Physician · Upland, CA
- NPI 1720379100
- Accepts Medicare
- MIPS 79.9 / 100 · 2023
- 15 yrs in practice
- Licensed in 3 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
555 N 13Th Ave
Upland, CA 917864904
(909) 982-8846
fax (909) 949-3967 - Additional location
-
7501 Greenway Center Dr # 300
Greenbelt, MD 207703514
(301) 474-4679
fax (301) 474-7182 - Additional location
-
11370 Anderson St Ste 1800
Loma Linda, CA 923543450
(909) 558-2154
fax (909) 558-2180
Credentials & registration
- NPI registered
- April 2011 — 15 yrs on file
- Profile last updated
- June 24, 2020
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207WX0107X — NUCC code
- State licenses (3)
- California #A123812 · District of Columbia #MD042959 · Virginia #0101257811
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720379100. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
18,789
Distinct HCPCS
10
Medicare allowed
$1,871,112
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J2777 |
Injection, faricimab-svoa, 0.1 mg | 12,123 | 42 | $36 | |
92014 |
Established patient complete exam of visual system | 1,683 | 630 | $131 | |
92134 |
Imaging of retina | 1,422 | 515 | $42 | |
67028 |
Injection of drug into eye | 993 | 243 | $135 | |
J0178 |
Injection, aflibercept, 1 mg | 973 | 105 | $863 | |
92250 |
Photography of the retina | 427 | 275 | $39 | |
J9035 |
Injection, bevacizumab, 10 mg | 397 | 105 | $71 | |
J7312 |
Injection, dexamethasone, intravitreal implant, 0.1 mg | 322 | 14 | $196 | |
J2781 |
Injection, pegcetacoplan, intravitreal, 1 mg | 316 | 11 | $151 | |
92012 |
Established patient problem focused exam of visual system | 66 | 36 | $94 |
In context: peer comparison
Among 3 peers in Upland Retina Specialist (Ophthalmology) Physician, average services per provider: 1,163. This provider delivers 16× the peer median.Open Payments
Industry payments received
All-time total
$305
Transactions
7
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alcon Vision LLC | 1 | $149.68 | |
| Abbvie INC. | 2 | $58.48 | |
| Genentech USA, INC. | 2 | $47.81 | |
| Astellas Pharma US INC | 1 | $27.96 | |
| Bausch & Lomb Americas INC. | 1 | $21.55 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,190
Patients
469
Total drug cost
$57,958
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 336 | 114 | $5,510 |
| Prednisolone Acetate | Generic | 182 | 114 | $9,229 |
| Brimonidine Tartrate | Generic | 160 | 49 | $3,649 |
| Timolol Maleate | Generic | 120 | 42 | $1,795 |
| Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) | Brand | 93 | 34 | $2,686 |
| Ketorolac Tromethamine | Generic | 77 | 31 | $2,462 |
| Ofloxacin | Generic | 66 | 51 | $1,100 |
| Dorzolamide Hcl | Generic | 50 | 18 | $1,452 |
| Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) | Brand | 18 | 0 | $369 |
| Restasis (Cyclosporine) | Brand | 18 | 0 | $17,906 |
Frequently asked questions
What is Dr. Samuel Kim's medical specialty?
Dr. Samuel Kim practices Retina Specialist (Ophthalmology) Physician in Upland, CA.
Where does Dr. Samuel Kim practice?
Dr. Samuel Kim practices at 555 N 13Th Ave, Upland, CA 917864904. Office phone: 9099828846.
What is Dr. Samuel Kim's NPI?
Dr. Samuel Kim's National Provider Identifier (NPI) is 1720379100, issued by NPPES.
Does Dr. Samuel Kim accept Medicare assignment?
Yes. Dr. Samuel Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Samuel Kim commonly perform?
Top Medicare-reported procedures in 2023: Injection, faricimab-svoa, 0.1 mg (HCPCS J2777); Established patient complete exam of visual system (HCPCS 92014); Imaging of retina (HCPCS 92134). Source: CMS Medicare Physician & Other Practitioners file.